Individual provider Active NPI

John Vinson Villaluz, PT, DPT

  • Physical Therapist
  • Irvington, NY
National Provider Identifier
1306493523
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044671 Issued in NY
Practice address
1 Bridge St Ste 71
Irvington, NY 10533-1560
Phone
(914) 478-0608
NPI assigned
Aug 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 044671 NY Primary

Addresses

Primary practice location

1 Bridge St Ste 71
Irvington, NY 10533-1560

Mailing address

1 Gilbert St
Shelton, CT 06484-3909
Phone (203) 243-1563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910002513 NY Practitioner - Physical Therapist in Private Practice 5496084865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascenza LLCGroup PAC ID 2062877665, 4 clinicians

Practice addresses (Care Compare)

248 W 60TH St
New York, NY 10023-7403
Phone (917) 382-1225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044671NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Ascenza LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Holt Chiropractic Offices, P.C. Past Accepting new patients

Locations

248 W 60th St
New York, NY 10023
Phone (203) 243-1563

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1306493523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GILBERT ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843909",
            "telephone_number": "203-243-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST STE 71",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331560",
            "telephone_number": "914-478-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALUZ",
        "first_name": "JOHN VINSON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.